摘要
目的探讨传统小儿疝气高位结扎术和小儿腹腔镜疝气修补术的临床疗效。方法选取2016年8月至2018年7月本院收治的66例小儿疝气患儿,随机分为对照组(n=33,采取小儿疝气高位结扎术)与观察组(n=33,采取小儿腹腔镜疝气修补术),对手术相关指标进行观察和对比,术后随访6个月观察复发情况。结果与对照组比较,观察组患者术后自主活动时间、住院时间及出血量均大大减少,手术时间明显缩短,差异均具有统计学意义(P<0.05);观察组术后6个月复发率及并发症发生率均低于对照组,差异均具有统计学意义(P<0.05)。结论小儿疝气采取腹腔镜疝气修补术治疗,创伤小,术后复发率低,并发症少,恢复快,具有临床推广价值。
Objective To compare the effect of laparoscopic repair and conventional high ligation in children with inguinal hernia.Methods 66 inguinal hernia children treated from August 2016 to July 2018 in our hospital were selected and randomly assigned to control group and observation group,33 cases each group.Children were treated with high ligation or laparoscopic repair,respectively.The operation index and recurrence rate after 6m of follow-up visit were estimated.Results The autonomic activity time,hospitalization time,bleeding volume and operation time in the observation group were reduced,with statistical difference among groups(P<0.05);after 6 months of surgery,the recurrence rate and complication rate in the observation group was statistically lower than control group(P<0.05).Conclusion The laparoscopic repair has little trauma,reduces the recurrence rate and complication rate,and promotes the fast recovery.It is worthy of clinical promotion.
作者
曾科
温志雄
袁德汉
Zeng Ke;Wen Zhixiong;Yuan Dehan(General Surgery Department,Shijie Hospital of Dongguan City,Dongguan,Guangdong,523290,China)
出处
《当代医学》
2019年第4期61-63,共3页
Contemporary Medicine
关键词
传统手术
小儿疝气
腹腔镜手术
住院时间
复发率
自主活动时间
出血量
Conventional surgery
Inguinal hernia
Laparoscopic surgery
Hospitalization time
Recurrence rate
Autonomic activity time
Bleeding volume
